Attention-Deficit/Hyperactivity Disorder in Older Adults: Prevalence and Possible Connections to Mild Cognitive Impairment
Open accessAbstract
Attentional deficits are frequently seen in isolation as the presenting sign and symptom of neurodegenerative disease, manifest as mild cognitive impairment (MCI). Persistent ADHD in the geriatric population could well be misconstrued as MCI, leading to the incorrect assumption that such persons are succumbing to a neurodegenerative disease process. Alternatively, the molecular, neuroanatomic, or neurochemical abnormalities seen in ADHD may contribute to the development of de novo late life neurodegenerative disease. The present review examines the issue of causality vs confound regarding the association of ADHD with MCI, suggesting that both are tenable hypotheses.
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ADHD has demonstrated a high degree of comorbidity of other psychological and mental conditions such as insomnia, anxiety, conduct disorder, sleep disturbance, oppositional defiant disorder, binge eating disorder, tic disorder, bipolar disorder, personality disorder, drug and substance dependence and mood disturbances.
“Furthermore, ADHD has demonstrated a high degree of comorbidity of other psychological and mental conditions such as insomnia, anxiety, conduct disorder, sleep disturbance, oppositional defiant disorder, binge eating disorder, tic disorder, bipolar disorder, personality disorder, drug and substance dependence and mood disturbances, among others [72, 74].”
From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [74]
The “Adult ADHD-Associated Cognitive Impairment and Comorbidities” section (page unavailable) associates ADHD with depression, anxiety, and alcohol/drug dependency; its Depression and Anxiety subsections give further support for those conditions. The copy does not support the sentence’s additional examples, including insomnia, conduct disorder, oppositional defiant disorder, binge eating disorder, tic disorder, bipolar disorder, and personality disorder. (LLM, conf=0.90)
Experimental — accuracy not yet measuredAdult ADHD is associated with substantial impairments in productive role functioning, social role functioning, and most strongly in cognitive functioning.
“Our results regarding role impairments are also consistent with much previous research in showing that adult ADHD is associated with substantial impairments in productive role functioning (Kupper et al. 2012), social role functioning (Bouchard and Saint-Aubin 2014), and most strongly in cognitive functioning (Ivanchak et al. 2012)”
From The descriptive epidemiology of DSM-IV adult ADHD in the world health organization world mental health surveys (2017) · cites this paper as Ivanchak et al. 2012
The section “Adult ADHD-Associated Cognitive Impairment and Comorbidities” reports that cognitive deficits related to ADHD can persist into adulthood and possibly the geriatric years. It does not compare the strength of cognitive impairment with productive or social role impairment, so it does not establish the claim’s “most strongly” qualifier. No page number is available in our copy. (LLM, conf=0.82)
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Collaborators, O. B. O. T. W. W. M. H. S., Fayyad, J., Sampson, N. A., Hwang, I., Adamowski, T., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H. S. G., Borges, G., de Girolamo, G., et al. (2017) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-016-0208-3 · Cited by 824 · see citing works
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“nia, anxiety, conduct disorder, sleep disturbance, oppositional defiant disorder, binge eating disorder, tic disorder, bipolar disorder, personality disorder, drug and substance dependence and mood disturbances, among others [72, 74].”
Background
- Authors
- Ivanchak, N., Fletcher, K., & Jicha, G. A.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- Jicha, Gregory A.
- Venue
- Current Psychiatry Reports
- Published
- 2012-08-11
- Volume
- 14
- Issue
- 5
- Pages
- 552-560
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC3718885
- OpenAlex
- W2040816655
- Cited by
- 54
- References
- 20
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 4 · 2019: 4 · 2018: 1 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 1 · 2013: 2
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (P30AG028383, L30 AG032934, 1 L30 AG032934)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- attention deficit hyperactivity disorder, older adults, mild cognitive impairment, prevalence, misdiagnosis, neuroanatomical abnormalities, neurochemical abnormalities
- MeSH terms
- Aged, Attention Deficit Disorder with Hyperactivity, Brain, Humans, Middle Aged, Comorbidity, Confounding Factors, Epidemiologic, Prevalence, Cognitive Dysfunction
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